AI Article Synopsis
- Malignant glaucoma is a complex post-surgical complication characterized by high intraocular pressure and a shallow anterior chamber, with an incidence of 0.6%-4.0% and risk factors including short axial length and a history of angle closure glaucoma.
- A case of bilateral malignant glaucoma is presented, with each eye having different causes leading to distinct management strategies, yet both eyes maintained a normal anterior chamber and preserved visual function.
- In the left eye, despite multiple surgeries and corneal endothelial failure, a retroendothelial fibrous membrane formed, providing some functional compensation for the damaged corneal endothelium.
Article Abstract
Background: Malignant glaucoma, caused by aqueous misdirection, is a challenging post-surgical complication presented with normal/high intraocular pressure and shallowing of the central and peripheral anterior chambers. Its incidence is about 0.6%-4.0%. It can be secondary to filtering surgeries, laser iridotomy, and cataract surgery. Short axial length and a history of angle closure glaucoma are its main risk factors. Here, we report a bilateral malignant glaucoma with bullous keratopathy in the patient's left eye.
Case Summary: We present a case of bilateral malignant glaucoma. The cause of malignant glaucoma for each eye of this patient was different. Hence, the management strategy and selection of surgical methods were also different. However, the normal anterior chamber was ultimately maintained, and maximum visual function was preserved. Even though the left eye received multiple surgeries and corneal endothelial decompensation occurred, the formation of a retroendothelial fibrous membrane partially compensated for the function of the corneal endothelium.
Conclusion: The formation of a retroendothelial fibrous membrane partially compensated for the function of the corneal endothelium.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10198087 | PMC |
| http://dx.doi.org/10.12998/wjcc.v11.i13.3010 | DOI Listing |
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